Author: Brett Burrell

Brett Burrell, JD, MBA, CHC, CHPC, Chief Compliance Officer, specializes in healthcare law with almost twenty years’ of experience. He is responsible for SpecialtyCare’s compliance program and provides guidance related to applicable laws and regulations, including the Anti-Kickback Statute, Stark Law, and the False Claims Act. Prior to joining SpecialtyCare, Brett was Compliance Officer for Aegis Sciences Corporation (a national toxicology laboratory), and held both compliance and legal roles with King Pharmaceuticals. Prior to his in-house roles, Brett practiced law with a firm focused on healthcare-related matters. He earned his bachelor’s degree in accounting from Tennessee Technological University, an MBA from the University of Mississippi, and his law degree from the University of Memphis. Brett is certified in both Healthcare Compliance and Healthcare Privacy Compliance.

One Compliance Violation Headline is One Too Many

Compliance Violations

Illegal referrals and inaccurate billing are often inadvertent, but can be part of deliberate and deceptive moneymaking schemes when physicians and other clinicians have ownership in outsourced providers for hospitals. Whether intentional or not, there is an ongoing pattern of regulatory compliance violations relating to the False Claims Act, the Stark Law, and the Anti-Kickback Statute. Headlines continue to regularly highlight fraudulent billing and illegal referrals that pose tremendous risk to hospitals, providers, and patients. Even alleged violations and pre-trial indictments can be costly given that regulatory agencies are authorized to suspend federal payments to providers under investigation.